Provider Demographics
NPI:1659528750
Name:ABDUL-HAQQ, NOOR JIHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NOOR JIHAN
Middle Name:
Last Name:ABDUL-HAQQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NOOR-JIHAN
Other - Middle Name:
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 STRAKA TER
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-2544
Mailing Address - Country:US
Mailing Address - Phone:405-632-6688
Mailing Address - Fax:405-604-0708
Practice Address - Street 1:3851 TINKER DIAGONAL
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-2109
Practice Address - Country:US
Practice Address - Phone:405-632-6688
Practice Address - Fax:405-604-0708
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003434208000000X
GA66235208000000X
OK29433208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003111986BMedicaid
GA003111986DMedicaid
OK200455340 AMedicaid
GA003111986CMedicaid